Intended for healthcare professionals

Endgames Spot Diagnosis

Early warning sign on computed tomography of the head

BMJ 2015; 351 doi: (Published 29 September 2015) Cite this as: BMJ 2015;351:h5013
  1. James Lowe, foundation year 2 doctor1,
  2. David Howlett, consultant radiologist2
  1. 1Eastbourne District General Hospital, Eastbourne BN21 2UD, UK
  2. 2Department of Radiology, East Sussex Hospitals NHS Trust, Eastbourne
  1. Correspondence to: J Lowe james.lowe1{at}

A 76 year old woman was admitted with acute onset left sided hemiparesis and facial asymmetry. A diagnosis of acute stroke was made on clinical grounds. What abnormality is seen on her axial unenhanced computed tomogram (fig 1) at …

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